Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/60974
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dc.contributor.authorHo, J.en
dc.contributor.authorPattanittum, P.en
dc.contributor.authorJaparaj, R.en
dc.contributor.authorTurner, T.en
dc.contributor.authorSwadpanich, U.en
dc.contributor.authorCrowther, C.en
dc.date.issued2010en
dc.identifier.citationInternational Journal of Gynecology & Obstetrics, 2010; 111(1):13-18en
dc.identifier.issn0020-7292en
dc.identifier.issn1879-3479en
dc.identifier.urihttp://hdl.handle.net/2440/60974-
dc.description.abstract<h4>Objective</h4>To examine episiotomy practices before and after a multi-component intervention designed to support the use and generation of research evidence in maternal and neonatal health care.<h4>Methods</h4>Set in 9 centers across 4 Southeast Asian countries, a retrospective survey was performed for 12 recommended pregnancy/childbirth practices and 13 outcomes of women in each center before and after intervention. Qualitative interviews were conducted to assess staff awareness and experience in evidence-based practice.<h4>Results</h4>There were significant decreases in the rate of episiotomy, from 64.1% to 60.1% (risk difference [RD] -4.0; 95% confidence interval [CI], -5.8 to -2.2) for all women and from 92.2% to 80.7% (RD -11.5; 95% CI, -13.4 to -9.6) for nulliparous women. Severe trauma decreased from 3.9% to 1.9% (RD -2.0; 95% CI, -2.7 to -1.4) for all women and from 6.7% to 3.0% (RD -3.7; 95% CI, -4.9 to -2.5) for nulliparous women. The frequency of intact perineum increased from 12.4% to 15.6% (RD 3.2; 95% CI, 1.9-4.6) for all women and from 1.7% to 8.0% (RD 6.3; 95% CI, 5.0-7.5) for nulliparous women.<h4>Conclusion</h4>An intervention based on understanding and using the best available evidence can result in significant improvements in care and health outcomes.en
dc.description.statementofresponsibilityJacqueline J. Ho, Porjai Pattanittum, Robert P. Japaraj, Tari Turner, Ussanee Swadpanich, Caroline A. Crowther, for the SEA-ORCHID Study Groupen
dc.language.isoenen
dc.publisherElsevier Sci Ireland Ltden
dc.rightsCrown Copyright © 2010 Published by Elsevier Ireland Ltd. on behalf of International Federation of Gynecology and Obstetrics. All rights reserved.en
dc.subjectCapacity building; Episiotomy; Low-income countries; Practice changeen
dc.titleInfluence of training in the use and generation of evidence on episiotomy practice and perineal traumaen
dc.typeJournal articleen
dc.identifier.rmid0020100406en
dc.identifier.doi10.1016/j.ijgo.2010.04.035en
dc.identifier.pubid33568-
pubs.library.collectionObstetrics and Gynaecology publicationsen
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
dc.identifier.orcidCrowther, C. [0000-0002-9079-4451]en
Appears in Collections:Obstetrics and Gynaecology publications

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